Individual
JOYCE FEDDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1750 48TH ST, SUITE 2, DES MOINES, IA 50310-1988
(515) 271-6300
(515) 271-6311
Mailing address
PO BOX 4925, DES MOINES, IA 50305-4925
(515) 271-6300
(515) 271-6311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00138
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0432674
—
IA
01
—
30517
WELLMARK BLUE SHIELD
IA
Enumeration date
09/28/2006
Last updated
02/15/2010
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